Abstract
Objective: To determine the effectiveness of home modification on quality of life on spinal cord injury in wheel chair user spinal cord injuries
Patients and Methods: This community based randomized control trial was carried out in district Kohat and Hangu, from January to December 2012. A total of 40 wheel chair users paraplegic patients were randomly selected and placed into experimental and control groups. The baseline LiSAT score was calculated and A written consent was taken from all patients before enrolling into the study. The home modification program was implemented for patients in the experiments group, including wheel chair accessible doors, ramps, rails, tub seats in bathrooms, and non-slip surfaces. LiSAT questionnaire was used as an assessment tool, and filled through face to face interviews before the implementation of home modifications and after two months. The data was analyzed by SPSS-20 and paired t-test was applied at the 95 % level of confidence to calculated the p-value and determine the statistical significance.
Results: The quality of life was significantly enhanced in the experimental group after home modification with mean LiSAT score 33.32 (p=0.001), as compare to the control group without home modification, with LiSAT score 22.85 (p=0.154), in wheel chair user paraplegic population, as assessed by the LiSAT questionnaire.
Conclusion: The home modification is effective in the enhancement of quality of life in wheel chair user paraplegic population.

Key words: Home Modification, Quality of Life, Paraplegic Population